Organization
PELTON GLOVER DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MICHAEL PELTON DDS (PRESIDENT)
(586) 731-3131
Entity
Organization
Contact information
Practice address
13610 24 MILE RD, SHELBY TOWNSHIP, MI 48315-2400
(586) 731-3131
Mailing address
13610 24 MILE RD, SHELBY TOWNSHIP, MI 48315-2400
(586) 731-3131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13626
MI
1223G0001X
General Practice Dentistry
Primary
14192
MI
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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